June 2010

1. Message from the Chairperson Judy Romano, MD, FAAP

2. New Reports

3. New Articles

4. New Resources

5. Chapter Child Care Contact Corner

6. Upcoming Events

7. Funding Opportunities

1. Message from the Chairperson Judy Romano, MD, FAAP:

Dear Members of the Section on Early Education and Child Care:

Welcome to the June issue of our section newsletter! You will be amazed at the depth of information available in this issue...from current issues such as obesity prevention to the important topic of quality in early childhood settings, I believe the amount of research and publications is reflective of an ever growing sense of the importance of early childhood experiences. I hope something in this issue will help you with your current work or inspire you to take a new direction.

The election results are in and we have 2 new members of the executive committee who will begin their term on November 1, 2010. Our newly elected members are Marian Earls, MD, FAAP, and Dina Lieser, MD, FAAP! Dr Earls is the Medical Director of Guilford Child Health, Inc, a large, non-profit, private pediatric practice, serving families at or below 200% of the Federal Poverty Level, in Greensboro, North Carolina. She is also a developmental and behavioral pediatrician and a Clinical Professor of Pediatrics for UNC Medical School. Dr Lieser is an Attending Pediatrician at New York Hospital Queens, Director of Child Advocacy and Community Pediatrics rotation and Cross Cultural Education at New York Hospital Queens and the Cornell Residency Program. She is also the Executive Director of Docs For Tots, a national nonprofit focused on early childhood advocacy. 

We’ve had several presentations at conferences in the past few months:

  • Danielle Dooley, MD, FAAP, partnered with Afterschool Investments to present "Incorporating Obesity Prevention Into Afterschool Programs" at the National AfterSchool Association Annual Convention
  • Staff member Stephanie Nelson, MS, CHES, presented "Positive Parenting and Violence Prevention in Head Start Through Use of the AAP Program Connected Kids: Safe, Strong, Secure" at the 37th Annual National Head Start Association Conference
  • Martin Maimon, MD, FAAP, presented "Hot Topics in Child Care Health and Safety" and "Healthy and Safe Environments for Children" at the National American Indian and Alaska Native Child Care Conference
  • Staff member Jeanne VanOrsdal, MEd, presented “Developmental Screening in Early Childhood Systems” at the 10th Annual McCormick Tribune’s Center for Early Childhood Leadership’s “Leadership Connections” Conference

May 6th was National Children's Mental Health Awareness Day, which focused on early childhood mental health. I was fortunate to sit as a panelist at the Early Childhood Forum, a national event held by the Substance Abuse & Mental Health Service Administration. To support this event, the AAP developed a list of tips that parents, early childhood educators, and pediatricians can use to promote positive mental health. In case you missed the announcement with the handout, you can obtain a copy here.
The AAP released a medication administration curriculum that involved numerous SOEECC members and other early education and child care colleagues. See below for more information.

The AAP is seeking pediatricians to serve a 2-year term as their chapter's Oral Health Advocate and attend an upcoming training in November. For more information, see the position description and/or contact Melissa Singleton at Melissa@MASconsultinginc.com.

Last, Danette Glassy, MD, FAAP; Jonathan Kotch, MD, MPH, FAAP; Phyllis Stubbs-Wynn, MD, MPH; and our friends at the National Resource Center for Health and Safety in Child Care and Early Education have been working hard at revising the 3rd edition of Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs. Standards related to the prevention of childhood obesity in child care and early education settings will be available this summer. The entire publication will be available electronically in early 2011!


Judy Romano , MD, FAAP, Chairperson
AAP Section on Early Education and Child Care

2. New Reports:

Developmental Screening in Early Childhood Systems
In March 2009, Healthy Child Care America/Child Care and Health Partnership held a meeting to facilitate a discussion regarding developmental screening. This was an opportunity for several states to meet and share their successes and barriers. This report summarizes the meeting, which included presentations from Fan Tait, MD, FAAP; Elaine Donoghue, MD, FAAP; Marian Earls, MD, FAAP; and 3 states that shared their approach to developmental screening.

Unnecessary Child Care Exclusions in a State That Endorses National Exclusion Guidelines
Previous studies have found high rates of unnecessary exclusion of children with mild illness in states that do not endorse national consensus guidelines for child care exclusion published by the AAP and the American Public Health Association (APHA). This study is the first to examine child care director exclusion decisions in a state that actively endorses AAP/APHA child care exclusion guidelines and to identify director, child care center, and neighborhood characteristics that are associated with unnecessary exclusion decisions.

Qualitative Analysis of Beliefs and Perceptions About Sudden Infant Death Syndrome in African-American Mothers: Implications for Safe Sleep Recommendations
This study investigates, by using qualitative methods, perceptions about sudden infant death syndrome (SIDS) in African-American parents and how these influence decisions. Results showed that many African-American mothers may not understand the connection between SIDS and sleep behaviors or believe that behavior (other than vigilance) cannot affect risk. These beliefs, if acted on, may affect rates of safe sleep practices. Efforts to explain a plausible link between SIDS and safe sleep recommendations and to improve consistency of the message may result in increased adherence to these recommendations.

Pool Inspection Data Show Need for Improvement
About 1 out of 8 public pool inspections conducted in 13 states in 2008 resulted in pools being closed immediately due to serious code violations, according to a report released by the Centers for Disease Control and Prevention. The report found that, overall, inspections of child care facility pools had the highest percentage of immediate closures (17.2%). Improper disinfectant and pH levels in the water can result in transmission of germs, such as Shigella and norovirus, which cause gastroenteritis. For pool standards specific to out-of-home child care settings, review Caring for Our Children.

The State of Preschool 2009The State of Preschool 2009
The 2009 State Preschool Yearbook is the seventh in a series of annual reports profiling state-funded prekindergarten programs in the United States. This latest Yearbook presents data on state-funded prekindergarten during the 2008-2009 school year. The first report in this series focused on programs for the 2001-2002 school year and established a baseline against which we may now measure progress over 8 years. Tracking these trends is essential, since changes in states' policies on preschool education will influence how successfully America's next generation will compete in the knowledge economy.

Do Effects of Early Child Care Extend to Age 15 Years?
The latest report from the National Institute of Child Health and Human Development child care study that has tracked more than 1,000 kids from birth to age 15 finds benefits of high-quality child care last into the teenage years. Both quality and quantity of child care were linked to adolescent functioning. The association between quality and achievement was mediated, in part, by earlier child care effects on achievement. Higher quality early child care also predicted youth reports of less externalizing behavior. More hours of nonrelative care predicted greater risk taking and impulsivity at age 15, relations that were partially mediated by earlier child care effects on externalizing behaviors.

Challenges and Opportunities Related to Implementation of Child Care Nutrition and Physical Activity Policies in DelawareChallenges and Opportunities Related to Implementation of Child Care Nutrition and Physical Activity Policies in Delaware
A new study just published by the nonprofit health research organization, Altarum Institute, suggests that Delaware’s first-in-the-nation guidelines for nutrition and physical activity in child care settings are broadly accepted by both child care providers and parents, but that challenges remain which should be addressed to implement the new policies fully and effectively.  This research, based on focus groups with parents and providers from 62 child care centers and homes across the state, provides a set of recommendations for meeting some key challenges

Colorado Promotes Quality Through Social-Emotional Health Credential
With guidance from the Colorado Social and Emotional Professional Development Planning Council, the Office of Professional Development recently completed their 3-year planning effort, released a comprehensive plan with 7 goals, and established a voluntary credential specific to the promotion and prevention levels of social-emotional health. The new social-emotional credential is interdisciplinary, recognizing that professionals in Head Start, Early Head Start, Part C early intervention, early care and education, preschool, inclusion settings, home visitation, etc. have the opportunity to enhance the early development of children. It is expected that a wide range of applicants will benefit from the credential, including early childhood teachers, child welfare consultants, nurses, home health care providers, social workers, mental health consultants, coaches and mentors, therapists, home visitors, and parent educators.

Solving the Problem of Childhood Obesity Within a Generation
White House Task Force on Childhood Obesity: Report to the President - Solving the Problem of Childhood Obesity Within a Generation - Download the ReportIn February, First Lady Michelle Obama launched the Let's Move! campaign to solve the childhood obesity epidemic within a generation. As part of this effort, President Barack Obama established the Task Force on Childhood Obesity to develop and implement an interagency plan that details a coordinated strategy, identifies key benchmarks, and outlines an action plan to end the problem of childhood obesity within a generation. The action plan defines the goal of ending childhood obesity in a generation as returning to a childhood obesity rate of just 5% by 2030, which was the rate before childhood obesity first began to rise in the late 1970s. In total, the report presents a series of 70 specific recommendations, many of which can be implemented right away. The document highlights the use of the AAP publication Caring for Our Children on page 21 as a resource for strengthening licensing standards and Quality Rating and Improvement Systems.

Key Findings From a 2009 National Parent Survey: Implications for Infant-Toddler Public Policy
Hart Research Associates conducted a national public opinion poll of 1,615 parents of children age birth to 3 years for ZERO TO THREE in June, 2009. The survey was designed to explore issues and challenges that parents of young children confront today, where gaps in knowledge of early development exist, identify what sources of information and support these parents turn to, and what factors influence their approach to parenting. Many of these survey findings have implications for policies and programs for infants, toddlers and families. Highlights include:

  1. 51% have a regular caregiver for their child other than themselves/spouse/partner
  2. 25% are experiencing child care-related hardships
  3. 53% do not think a child can experience feeling good or bad about themselves until they are older
  4. 53% say the way their parents raised them has a major influence on their approach to parenting

Changes in State-Specific Childhood Obesity and Overweight Prevalence in the United States from 2003 to 2007

This study is the first to examine changes in obesity and overweight prevalence rates on a state-by-state basis. It confirmed some previously known risk factors for obesity in children and found a relatively higher prevalence of obesity and overweight children and adolescents in the South.

Study findings included the following:

  1. While overweight prevalence among the total population did not increase significantly between 2003 and 2007, it increased 9% among female children.
  2. Overweight prevalence varied from a low of 23.1% in Utah to a high of 44.5% in Mississippi.
  3. Obesity prevalence nearly doubled among female children in Arizona and Kansas.

Food in America’s Child Care Programs: Parents’ and Providers’ Perspectives

The National Association of Child Care Resource and Referral Agencies E-mailed its parent network to ask for any stories that parents wanted to share about the importance of the meals and snacks their child care program served through Child and Adult Care Food Program. The stories in this paper represent a small sampling of cases in which nutritious meals and snacks have made a difference to families with children in child care.

Engaged Families, Effective Pre-K
Family engagement is a reciprocal partnership between parents and pre-k programs that reflects a shared responsibility to foster young children’s development and learning. This brief explores state-level policies to encourage and enhance family engagement as a critical component of high-quality pre-k.

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3. New Articles:

Head Start Dental Home Initiative
Executive Director of the West Virginia Head Start Association Becky Gooch- Erbacher noticed that oral health kept surfacing as the primary need for Head Start children, and began working collaboratively with a group of concerned individuals and organizations to address that need, which lead to the formation of the West Virginia Partners for Oral Health.

New Bill to Ban Sugary Drinks at Child Care
In an effort to fight childhood obesity in California, lawmakers are backing a new bill that would ban sweetened drinks at licensed child care centers.

Five Child Care Centers Targeting Childhood Obesity
The New York Department of Health will help child care centers focus their efforts on preventing childhood obesity. Through the Nutrition and Physical Activity Self-Assessment for Child Care program, 5 child care centers in Jefferson County will begin emphasizing healthier eating habits and increased physical activity for children in their programs.

Three Cleveland Institutions to Develop Early Childhood Curriculum to Combat Obesity in Cleveland Schools
The Children's Museum of Cleveland and University Hospitals Rainbow Babies & Children's Hospital are teaming up with the Cleveland Metropolitan School District to create a plan to address the nation's rising rate of childhood obesity in local early childhood school programs.

Needs of 'Whole Child' May Factor in ESEA Renewal
As Congress gears up for renewal of the Elementary and Secondary Education Act (ESEA), lawmakers and the Obama administration are seeking to address a perennial complaint: that the current version of the law, the No Child Left Behind Act, places too much emphasis on students’ test scores and pays little attention to their health and other needs.

“If our children aren’t safe, they can’t learn,” Secretary Duncan told a forum on health sponsored by the Congressional Black Caucus Foundation. “If our children aren’t fed, they can’t learn. If our children can’t see the blackboard, they can’t learn.”

Child Care Providers Get Lessons in Lee County on Being Prepared
The Early Learning Coalition of Southwest Florida sponsored a Disaster Preparation Conference and addressed plans that are meant to safely manage children in a center’s care in case of a natural disaster like a hurricane or the sudden appearance of an intruder.

Grants to Help With Question: ‘If only my preschool had …”
The Dekko Foundation and the Foellinger Foundation are joining forces to put money into the hands of preschool teachers and child care providers through a grant opportunity called “If Only”. The program is meant to prompt teachers and child care providers to think in innovative ways about how to make their classrooms a better place, through training, touch-ups to their facilities, developmentally appropriate toys or teaching props or other imaginative enhancements to the child’s daily experience.

UW Institute Will Study ABC's of Child Learning, Brain Development
The Institute for Learning and Brain Sciences at the University of Washington officially opened a $7 million facility that researchers believe could revolutionize how we understand the development of a child's brain. The facility includes the Magnetoencephalography machine, which monitors minute changes in the magnetic field in the brain.

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4. New Resources:Healthy Futures

Medication Administration Curriculum
As part of the Healthy Futures: Improving Health Outcomes for Young Children project, the AAP has developed a medication administration curriculum designed for use by health care professionals when presenting to early education and child care professionals.
This curriculum is divided into 5 modules and includes PowerPoint presentations, video clips, activities, forms, and pre- and post-tests. The curriculum is estimated to take 4 hours to present, however, it can be adapted to meet time constraints and the learner and instructor needs.

PowerPoint Presentations
To better equip health care professionals with the resources to educate colleagues and early education and child care professionals, we will now be featuring a new PowerPoint presentation each E-News. Each presentation will be on a different topic and can be customized to meet your needs. This E-News we feature a presentation on child care health consultation. Educate others on the definition and benefits of health consultation, and how pediatricians can be health consultants too.

In addition, we’ve developed a general presentation on the AAP and Healthy Child Care America program. Feel free to pluck slides from this presentation to complement your existing presentations.

New Web Page: Preparing Child Care Programs for Pandemic Influenza
In 2009, the AAP conducted a child care needs assessment related to preparing for a pandemic influenza. Using the results from this assessment, a Web page was created to offer training information and ideas for the child care community. The AAP is developing a more in-depth handout on the topic of pandemic preparedness and child care programs that will be released in the Fall of 2010.

Much thanks to SOEECC members CAPT Tim Shope, MD, FAAP; Jonathan Kotch, MD, MPH, FAAP; and Sue Aronson, MD, FAAP, for offering input!

AAP Child Care Publications Now Available as eBooks!AAP eBooks
The AAP has launched a brand new eBook platform! Within the new platform, eBook purchasers will be able to view the eBook on an Internet browser, download it to a computer, make notes, highlight, annotate, zoom, and share a free preview via E-mail, social networks, and/or Web sites. Two child care publications have been included: Managing Infectious Diseases in Child Care and Schools, 2nd Ed and Managing Chronic Health Needs in Child Care and Schools.

Immunization Campaign: Protect Tomorrow
Protect Tomorrow is a national education awareness campaign that reminds parents about the importance of childhood immunizations. The campaign Web site includes television and radio PSAs, about the importance of keeping children up-to-date on their vaccinations.

New Redesigned Web Site: National Center for Medical Home Implementation
The National Center for Medical Home Implementation has launched a new and improved Web site! The new site features a plethora of resources and information designed to help you learn more about family-centered medical home and how practices, families, communities and states are working on implementation.

Child Care in America: Parents' Perspectives
The National Association of Child Care Resource & Referral Agencies has put together several short video clips of actual interviews with parents who were willing to share their stories on an array of child care experiences to show the need to improve the quality of child care.

The Right Choice for KidsNew Redesigned Web Site: The Right Choice for Kids
The National Association for the Education of Young Children (NAEYC) recently announced the re-launch of The Right Choice for Kids Web site. The Right Choice for Kids is NAEYC’s campaign to promote NAEYC Accreditation of Programs for Young Children to families and the public.  

New Redesigned Web Site: Early Childhood Comprehensive Systems (ECCS) Initiative
This site was designed to give ECCS grantees access to information and resources that will strengthen the important systems-building work they are already carrying out. The site includes links to ECCS state plans and logic models, early childhood systems reports, data and other Web sites, including technical assistance ones, along with grantee contact information.

Quality Rating and Improvement System Resource Guide
The guide by the National Child Care Information and Technical Assistance Center, a service of the Child Care Bureau, is a Web-based tool for states and communities to explore quality rating and improvement system issues and decision points during planning and implementation. Topics range from the initial design process to evaluation.

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5. Chapter Child Care Contact Corner:

Are you looking to become more involved in early education and child care? If so, we have an opportunity for you! We are looking for an AAP Chapter Child Care Contact (CCCC) in the following states:

  • Delaware
  • Florida
  • Puerto Rico

If you or someone you know is interested in this position, please see the CCCC job description and/or E-mail Stephanie Nelson at snelson@aap.org. If you are not located in the above states yet are still interested in becoming more active, contact your CCCC for ideas.

Save the Date!  NCE 2010 – CCCC Meeting
Mark your calendars to attend the AAP National Conference and Exhibition (NCE) October 2-5, 2010 in San Francisco, CA. If you would like to see more information about the NCE, click here

Currently the 2nd phase of the Healthy Futures: Improving Health Outcomes for Young Children project is under development. This involves the development of a curriculum on infectious diseases in child care. The infectious disease curriculum is expected to launch at the 2010 NCE. The CCCCs are invited to attend a training/discussion on the new curriculum and grant program to support the implementation of the curriculum. The training is tentatively set for Sunday, October 3, 2010 from 9:00am-11:30am. If you are interested in more information, please E-mail Stephanie Nelson at snelson@aap.org.

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6. Upcoming Events:

Head Start's 10th National Research Conference Head Start's 10th National Research Conference
June 21-23, 2010, Washington, DC

National Association for Family Child Care Annual Conference
July 15-17, 2010, Nashville, TN

Early Childhood 2010

Early Childhood 2010: Innovation for the Next Generation
August 3-4, 2010, Washington, DC
(By invitation only)

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7. Funding Opportunities:

Robert Wood Johnson Foundation
Deadline: June 30, 2010

The Robert Wood Johnson Foundation Local Funding Partnerships program seeks to create relationships between the Robert Wood Johnson Foundation and local grant makers to fund promising, original projects that can significantly improve the health of vulnerable populations.

CATCH Planning Grant
Deadline: July 30, 2010

The Community Access to Child Health (CATCH) Planning Funds program provides grants in amounts from $2,500 to $12,000 for pediatricians to develop innovative, community-based initiatives that increase children's access to medical homes or to specific health services not otherwise available.

Planning project activities must lead to sustainable, community-based child health initiatives that increase access to care, especially for underserved children, and address health disparities among children.

CATCH Resident Planning Grant
Deadline: July 30, 2010

The CATCH Resident Funds program supports pediatric residents in the planning and/or implementation of community-based child health initiatives. Grants of up to $3,000 are awarded twice each year on a competitive basis for pediatric residents to address the needs of children in their communities.

Michael & Susan Dell Foundation
Deadline: Rolling

The Michael and Susan Dell Foundation seeks to fund projects that directly serve or impact children living in urban poverty, particularly in the areas of education, childhood health and family economic stability.


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